Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Patrick Buck, DO

Individual provider Dermatology Physician · NPI 1578895744

Shannon Patrick Buck, DO is a Dermatology in Ames, Iowa. Qualified in 2010, 16 years ago. Practices with Epiphany Dermatology PA, a 107-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3600 E Lincoln Way
Ames, IA 50010-9191
Phone: (515) 239-4492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence DO-55426 (IA)
Dermatology Physician Taxonomy 207N00000X · Licence DO-55426 (IA)

Record details

NPI number1578895744
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 12, 2010
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address1215 Duff Ave, Ames, IA 50010-5469

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Epiphany Dermatology Pa — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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